Educational Problems Clinical Trial
Official title:
Ethical Committee at Researches of Ege University
NCT number | NCT04395235 |
Other study ID # | EGE18-5/45 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 5, 2018 |
Est. completion date | August 5, 2019 |
Verified date | May 2020 |
Source | Ege University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Background: Primary aspect of hepatic navigation surgery is the identification of source
vascular details to preserve healthy liver which has a vascularity anatomy quite challenging
for the young surgeons. The purpose was to determine whether three-dimensional (3D) vascular
pattern models of preoperative computed tomography images will assist resident-level trainees
for hepatic surgery.
Methods: This study was based on the perception of residents who were presented with 5
different hepatic source vascular pattern and required to compare their perception level of
CT, and 1:1 models in terms of importance of variability, differential of patterns and
preoperative planning.
Results: All subspecialties agree that models provided better understanding of vascular
source and improved preplanning. Five stations provided qualitative assessment with results
showing the usefulness of porta-celiac models when used as anatomical tools in preplanning
(p=0.04), simulation of interventional procedures (p=0.02), surgical education (p=0.01). None
of the cases a scored less than 8.5. Responses related to understanding variations were
significantly higher in the perception of the 3D model in all cases, furthermore 3D models
were more useful for seniors in more complex cases 3 & 5. Some open-ended answers: "The 3D
model can completely change the operation plan" One the major factors for anatomical
resection of liver transplantation is the positional relationship between the hepatic
arteries and the portal veins. Conclusions: The plastic-like material presenting the hepatic
vascularity enables the visualization of the origin, pattern, shape, and angle of the
branches with appropriate spatial perception thus making the well-structured.
Status | Completed |
Enrollment | 22 |
Est. completion date | August 5, 2019 |
Est. primary completion date | November 5, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 25 Years to 35 Years |
Eligibility |
Inclusion Criteria: General Surgery Resident - Exclusion Criteria: General Surgery Specialist - |
Country | Name | City | State |
---|---|---|---|
Turkey | Ege University | Izmir |
Lead Sponsor | Collaborator |
---|---|
Ege University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Creating life-size patient-specific porta-celiac vascular model | The survey was utilized by our group, understanding of patient vascular anatomy, awareness of the changes based on variations, independent decision-making, differential diagnosis, plan on key surgical steps, and preparation for unexpected bleeding. | 05.10. 2019, 45 minutes |
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